Test 2 (Case study quiz) Chapter 25 - Depressive disorders

Question 1

What is MDD

Answer 1

major depressive disorder

Question 2

MDD is characterized/diagnosed by?

Answer 2

depressed mood or loss of interest or pleasure in usual activities.

evidence of impaired social and occupational functioning for at least two weeks.

no history of manic behavior

not caused by substance or medication

Question 3

MDD is specified according to whether it is _____ or ______

Answer 3

single or recurrent

Question 4

MDD The diagnosis of MDD will also identify the degree of severity of symptoms which are _____,_____ or _____ and whether there is evidence of psychotic, catatonic, or melancholic features

Answer 4

mild, moderate or severe

Question 5

Persistent Depressive Disorder is somewhat milder than MDD. It is also known as _______

Answer 5

dysthymia

S&S milder level for majority over a 2 year period

Question 6

_______ theory says that the underlying cause of the depressive affect is seen as cognitive distortions that result in negative, defeated attitudes.

1. Negative expectations of the environment
2. Negative expectations of the self
3. Negative expectations of the future

Answer 6

cognitive

Question 7

T or F: when grief is prolonged or exaggerated, a person can become fixed in anger or grief response, then turn the anger in on oneself causing dysthymia.

Answer 7

True

Question 8

T or F: The individual who is severely depressed may demonstrate a loss of contact with reality

Answer 8

True.

May also have lack of pleasure in activities, and ruminations of suicide are common.

Question 9

Treatments for depression include…

Answer 9

TCA
MAOi
SSRIs

REFER TO MEDS LIST FOR REVIEW

Question 10

Risk factors for depression include?

Answer 10

recent negative stressors and losses
childhood abuse or neglect
loss of parent
lack of social support
bullying
having significant physical or mental disorder
being a woman higher risk
low socioeconomic class
marital status
not working outside home
substance abuse and dependency

LACK OF SLEEP (EB)

Question 11

Causes of depression?

Answer 11

biochemical (low on 5HT NE and DA
high cortisol (dst test)
genetics
race/culture 
negative thinking
anger turned inward
Bowlby - loss theory
seasons
electrolyte, hormone disturbances
nutritoinal deficiencies

Question 12

What tool can you use to assess for depression?

Answer 12

sigecaps

Question 13

T or F: Must have depressed S&S for at least one week for DSM diagnosis

Answer 13

False,

2 weeks!

Question 14

On the depression continuum, what does transient mean?

Answer 14

everyday disappointments, not dysfunctional
sad/crying
difficulty getting mind off of issue
tired

Question 15

On the depression continuum, what does mild mean?

Answer 15

normal grief
denies feelings
preoccupied with loss

Question 16

On the depression continuum, what does moderate mean?

Answer 16

dysthymic, powerless, hopeless, slow thinking, sleep disturbance, concentration problems

Question 17

On the depression continuum, what does severe mean?

Answer 17

major depression
despair, apathy, worthless
psychomotor retardation
delusional
somatic is common along with bipolar depression